Common Orthodontic Issues

Common Orthodontic Problems

Dr. Laura Rothe is honored to have the skills and talents of an orthodontist who can correct the following problems. If you are suffering from any of these issues, please call Skyline Orthodontics today so you can quickly take advantage of our orthodontic care in Elkhorn, Nebraska!

Class II

Class II problems represent abnormal bite relationships in which the upper jaw and teeth project ahead of the lower jaw, which is called an “overjet.” Class II patients usually exhibit a convex facial profile with a deficient chin prominence. Typically, a Class II problem is inherited. Persistent thumb sucking can also aggravate these problems. Correcting of this disorder generally requires influencing facial growth to bring the upper and lower jaws and teeth to their proper position.

Class III

Class III problems are primarily genetic in origin. In this instance, the lower jaw and teeth are displaced to the front of the upper jaw structures. The facial appearance may give the impression that the lower jaw is excessively large, but in many cases the lack of upper jaw is at fault.


Posterior crossbites usually result from a constricted upper jaw or unusually wide lower jaw. A narrow upper jaw will often force a patient to move their lover jaw forward or to the side when closing into a stable bite. When closed into this accommodated position, the lower teeth are located outside the upper teeth. This posturing may result in an incorrect, functional position of the lower jaw with accompanying facial asymmetry.


Crowding of the teeth is the most common problem associated with the need for orthodontic care. Although many factors contribute to the dental crowding, this problem usually stems from a discrepancy between space available in each jaw and the size of the teeth. Aside from aesthetic considerations, poor alignment of teeth may be associated with periodontal problems and an increased risk of dental decay due to difficulty in maintaining proper oral hygiene.

Deep Bite

Excessive vertical overlapping of incisor teeth called deep bite or “overbite” is generally found in association with a discrepancy between the length of the upper and lower jaws. It usually results in excessive eruption of either the upper or lower incisors or both. Associated problems include: 1) excessive display of gum tissue, 2) lip protrusion or entrapment, 3) biting the roof of the mouth, and 4) incisor wear.

Open Bite

A lack of vertical overlap of the incisor teeth can usually be traced to jaw disharmony, persistent habits (i.e. thumb sucking and posturing of the tongue between the front teeth), or excessive vertical growth of one or both jaws. Early assessment and intervention is critical to the overall success of treating these disorders.


Spaces between teeth are another common problem associated with the need for orthodontic care. Like crowding, spacing may be related to a tooth-to-jaw size disharmony. Gum tissue attachments called “frenum” is also a common cause of spacing between the front teeth. Excessive vertical overlap of the front teeth as well as incisor protrusion may lead to spacing. Other contributing factors include atypical or unusually narrow teeth and missing or impacted teeth.

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